Pediatric Injury Prevention Health Communications Study

意外伤害是美国儿童死亡的主要原因，也是儿童发病的主要原因。大多数伤害发病率和死亡率发生在家中或汽车，并可通过使用预防性安全措施减少。本研究评估了在初级保健设置提供的量身定制的伤害预防信息的有效性和效用。初步研究证明了潜在的可行性和有效性的计算机定制的信息方法提供伤害预防教育在初级保健设置。随后的研究测试了同时提供量身定制的父母和医生信息对医生与父母在儿童访问期间关于伤害预防行为和随后父母采用新的安全措施的沟通的影响。在健康儿童访问期间，4岁及以下儿童的父母完成了计算机评估，并随机接受一般伤害预防信息，量身定制的伤害预防信息或量身定制的信息，并为提供者提供量身定制的摘要。在诊所访问一个月后进行的随访评估表明，与接受一般信息的父母相比，接受量身定制信息或补充提供者信息的父母更有可能报告采取新的伤害预防行为，这些影响在受教育程度最低的父母中最大。目前的研究解决了这种个性化的伤害预防计算机程序的吸收和应用，该程序设计用于井子探监期间，以增强对安全行为的预期指导。在北卡罗莱纳的五个儿科诊所的样本实施安全N声伤害预防计划。跟踪项目使用率，进行临床观察评估项目使用情况，由卫生保健提供者完成调查和焦点小组，并在项目实施之前和之后评估伤害预防预期指导文件。这项研究将进一步告知潜在的发展和使用策略，在初级保健环境中采用量身定制的沟通来预防儿科伤害。

Unintentional injuries are the leading cause of death among U.S. children and a major cause of childhood morbidity. Most injury morbidity and mortality occur in the home or automobile, and may be decreased through the use of preventive safety practices. This research assesses the effectiveness and utility of tailored injury prevention information provided in the primary care setting. Initial research demonstrated the potential feasibility and effectiveness of a computer-tailored information approach to the provision of injury prevention education in the primary care setting. Subsequent research tested the impact of the delivery of concurrent tailored parent and physician information on physician-parent communication during the well-child visit regarding injury prevention behaviors and subsequent parent adoption of new safety practices. During well-child visits, parents of children ages 4 and younger completed a computer assessment and were randomized to receive generic injury prevention information, tailored injury prevention information, or tailored information supplemented with a tailored summary for providers. Follow-up assessment conducted one month following the clinic visit indicated that parents receiving tailored information alone or with supplementary provider information were more likely to report adopting a new injury prevention behavior than those receiving generic information, and these effects were greatest among the least educated parents. Current research addressed the uptake and utility of this individually-tailored injury prevention computer program designed for use during well child visits to enhance the provision of anticipatory guidance regarding safety behaviors. A sample of five pediatric clinics in North Carolina implemented the Safe N Sound injury prevention program. Rates of program usage were tracked, clinic observations assessing program usage were conducted, surveys and focus groups were completed by health care providers, and documentation of injury prevention anticipatory guidance were assessed prior to and following program implementation. This research will further inform the potential development and use of strategies employing tailored communications for pediatric injury prevention in the primary care setting.